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Showing posts from October, 2021

General medicine case 6

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"This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box i October 26, 2021 37 YEAR OLD MALE FARMER BY OCCUPATION This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. A 37 y male Farmer came to casualty with c/o decreased urine output since 4 days swelling of RT lower limb since 4 days HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 4 days back then he had a snake bite while he working in the farm around 6:00 am ,he di

General medicine case 5

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 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. 4 October 2021 25 year old male came to the casualty with cheif complaint of pedal edema since 1year and shortness of breath and decreased urine since past 1 and half year. Patient is known case of CKD on MHD since 1 and half year. HISTORY OF PRESENT ILLNESS: The patient is asymptomatic 1 and half year back,then he developed pedal edema which was gradual in onset and slowly progressive. Patient has shortness of breath on exertion and decresed urine output. No history of chest pai